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//require_once('globals.php');
require_once('inc/weixiconfig.php');
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<title>儿童专注力测试（国际版）</title>
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	<div class="tip-alert-top">
	  请完成所有题目并提交，即刻获取专业测试结果
	</div>
	<form id="exam" class="form-examlist">
		<ul id="part1">
			<li class="clearfix">
				<div class="form-examlist-exam">
					<b>1</b><h2><span>经常发脾气</span></h2>
				</div>
				<div class="form-examlist-items clearfix">
					<span><input type="radio" name="s1" value="0" />从不或很少</span>
					<span><input type="radio" name="s1" value="1" />有时</span>
					<span><input type="radio" name="s1" value="2" />经常</span>
					<span><input type="radio" name="s1" value="3" />很常见</span>
				</div>
			</li>

			<li class="clearfix">
				<div class="form-examlist-exam">
					<b>2</b><h2><span>经常和大人争论</span></h2>
				</div>
				<div class="form-examlist-items clearfix">
					<span><input type="radio" name="s2" value="0" />从不或很少</span>
					<span><input type="radio" name="s2" value="1" />有时</span>
					<span><input type="radio" name="s2" value="2" />经常</span>
					<span><input type="radio" name="s2" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>3</b><h2><span>经常活跃地违抗或拒绝成人的要求或规则</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s3" value="0" />从不或很少</span>
					<span><input type="radio" name="s3" value="1" />有时</span>
					<span><input type="radio" name="s3" value="2" />经常</span>
					<span><input type="radio" name="s3" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>4</b><h2><span>经常故意地做惹恼其他人的事情</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s4" value="0" />从不或很少</span>
					<span><input type="radio" name="s4" value="1" />有时</span>
					<span><input type="radio" name="s4" value="2" />经常</span>
					<span><input type="radio" name="s4" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>5</b><h2><span>经常因Ta自己的错误或不当的行为而责怪他人</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s5" value="0" />从不或很少</span>
					<span><input type="radio" name="s5" value="1" />有时</span>
					<span><input type="radio" name="s5" value="2" />经常</span>
					<span><input type="radio" name="s5" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>6</b><h2><span>经常过分敏感或很容易被他人惹恼</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s6" value="0" />从不或很少</span>
					<span><input type="radio" name="s6" value="1" />有时</span>
					<span><input type="radio" name="s6" value="2" />经常</span>
					<span><input type="radio" name="s6" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>7</b><h2><span>经常生气和愤怒</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s7" value="0" />从不或很少</span>
					<span><input type="radio" name="s7" value="1" />有时</span>
					<span><input type="radio" name="s7" value="2" />经常</span>
					<span><input type="radio" name="s7" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>8</b><h2><span>经常怀恨在心或想报复</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s8" value="0" />从不或很少</span>
					<span><input type="radio" name="s8" value="1" />有时</span>
					<span><input type="radio" name="s8" value="2" />经常</span>
					<span><input type="radio" name="s8" value="3" />很常见</span>
				</div>
			</li>
		</ul>


		<ul id="part2">
			<li>
				<div class="form-examlist-exam">
					<b>9</b><h2><span>学校工作中不能注意细节或犯一些不小心引起的错误</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s9" value="0" />从不或很少</span>
					<span><input type="radio" name="s9" value="1" />有时</span>
					<span><input type="radio" name="s9" value="2" />经常</span>
					<span><input type="radio" name="s9" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>10</b><h2><span>在完成任务或玩耍的活动中难以保持注意</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s10" value="0" />从不或很少</span>
					<span><input type="radio" name="s10" value="1" />有时</span>
					<span><input type="radio" name="s10" value="2" />经常</span>
					<span><input type="radio" name="s10" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>11</b><h2><span>当直接和他/她说话时，似乎没在听</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s11" value="0" />从不或很少</span>
					<span><input type="radio" name="s11" value="1" />有时</span>
					<span><input type="radio" name="s11" value="2" />经常</span>
					<span><input type="radio" name="s11" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>12</b><h2><span>不能始终如一地遵守指令并且不能完成学校工作、家务或职责</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s12" value="0" />从不或很少</span>
					<span><input type="radio" name="s12" value="1" />有时</span>
					<span><input type="radio" name="s12" value="2" />经常</span>
					<span><input type="radio" name="s12" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>13</b><h2><span>组织任务或活动困难</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s13" value="0" />从不或很少</span>
					<span><input type="radio" name="s13" value="1" />有时</span>
					<span><input type="radio" name="s13" value="2" />经常</span>
					<span><input type="radio" name="s13" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>14</b><h2><span>避免需要持续心理努力的任务（如：学校工作，家庭作业）</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s14" value="0" />从不或很少</span>
					<span><input type="radio" name="s14" value="1" />有时</span>
					<span><input type="radio" name="s14" value="2" />经常</span>
					<span><input type="radio" name="s14" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>15</b><h2><span>丢失任务或活动中必须的东西（如：玩具、学校作业、铅笔、书）</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s15" value="0" />从不或很少</span>
					<span><input type="radio" name="s15" value="1" />有时</span>
					<span><input type="radio" name="s15" value="2" />经常</span>
					<span><input type="radio" name="s15" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>16</b><h2><span>容易分心</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s16" value="0" />从不或很少</span>
					<span><input type="radio" name="s16" value="1" />有时</span>
					<span><input type="radio" name="s16" value="2" />经常</span>
					<span><input type="radio" name="s16" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>17</b><h2><span>在日常活动中健忘</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s17" value="0" />从不或很少</span>
					<span><input type="radio" name="s17" value="1" />有时</span>
					<span><input type="radio" name="s17" value="2" />经常</span>
					<span><input type="radio" name="s17" value="3" />很常见</span>
				</div>
			</li>
		</ul>


		<ul id="part3">
			<li>
				<div class="form-examlist-exam">
					<b>18</b><h2><span>手或脚动个不停或在椅子上感到不安</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s18" value="0" />从不或很少</span>
					<span><input type="radio" name="s18" value="1" />有时</span>
					<span><input type="radio" name="s18" value="2" />经常</span>
					<span><input type="radio" name="s18" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>19</b><h2><span>在教室内或其他需要坐在椅子上的场合中离开座位</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s19" value="0" />从不或很少</span>
					<span><input type="radio" name="s19" value="1" />有时</span>
					<span><input type="radio" name="s19" value="2" />经常</span>
					<span><input type="radio" name="s19" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>20</b><h2><span>在不适宜的场合中，到处跑或过度攀爬</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s20" value="0" />从不或很少</span>
					<span><input type="radio" name="s20" value="1" />有时</span>
					<span><input type="radio" name="s20" value="2" />经常</span>
					<span><input type="radio" name="s20" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>21</b><h2><span>难以安静地玩耍或参加休闲活动</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s21" value="0" />从不或很少</span>
					<span><input type="radio" name="s21" value="1" />有时</span>
					<span><input type="radio" name="s21" value="2" />经常</span>
					<span><input type="radio" name="s21" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>22</b><h2><span>“准备活动”或经常行动好像“被马达驱动”</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s22" value="0" />从不或很少</span>
					<span><input type="radio" name="s22" value="1" />有时</span>
					<span><input type="radio" name="s22" value="2" />经常</span>
					<span><input type="radio" name="s22" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>23</b><h2><span>过度说话</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s23" value="0" />从不或很少</span>
					<span><input type="radio" name="s23" value="1" />有时</span>
					<span><input type="radio" name="s23" value="2" />经常</span>
					<span><input type="radio" name="s23" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>24</b><h2><span>问题还没有问完前就抢先回答</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s24" value="0" />从不或很少</span>
					<span><input type="radio" name="s24" value="1" />有时</span>
					<span><input type="radio" name="s24" value="2" />经常</span>
					<span><input type="radio" name="s24" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>25</b><h2><span>难以等待轮替</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s25" value="0" />从不或很少</span>
					<span><input type="radio" name="s25" value="1" />有时</span>
					<span><input type="radio" name="s25" value="2" />经常</span>
					<span><input type="radio" name="s25" value="3" />很常见</span>
				</div>
			</li>

			<li>
				<div class="form-examlist-exam">
					<b>26</b><h2><span>打扰或侵犯他人</span></h2>
				</div>
				<div class="form-examlist-items">
					<span><input type="radio" name="s26" value="0" />从不或很少</span>
					<span><input type="radio" name="s26" value="1" />有时</span>
					<span><input type="radio" name="s26" value="2" />经常</span>
					<span><input type="radio" name="s26" value="3" />很常见</span>
				</div>
			</li>
		</ul>


		<div id="part4" class="contactinfo">
			<p class="tip-alert-info">
				请填写以下内容获取SNAP专业测试结果，我们将为您提供更多专业的服务和内容：
			</p>
			<ul>
				<li><span>孩子性别：<input type="text" name="kidsex" value="" /></span></li>
				<li class="kidage"><span>孩子年龄：
						<select id="kidage" name="kidage">
							<option value="0">请正确选择</option>
							<option value="7">7周岁</option>
							<option value="8">8周岁</option>
							<option value="9">9周岁</option>
							<option value="10">10周岁</option>
							<option value="11">11周岁</option>
							<option value="12">12周岁</option>
							<option value="13">13周岁</option>
						</select>
            		</span></li>
				<li class="parenttel"><span>家长电话：<input type="text" name="parenttel" value="" /></span></li>
				<li class="parentname"><span>家长姓名：<input type="text" name="parentname" value="" /></span></li>
			</ul>
		</div>
		<input type="button" id="submitbt" value="确认提交" class="bottombar" />
	</form>

</body>
</html>
